Back Pain
1. What is Back Pain?
Back pain is one of the most common health problems. It can range from a dull, constant ache to a sudden, sharp pain. Most people experience back pain at some point in their lives, and it often improves on its own with simple treatments. In some cases, however, it may last longer or signal an underlying condition that needs medical attention.
2. Causes of Back Pain
Back pain can result from many different issues, including:
Muscle or ligament strain – from heavy lifting, sudden movements, or poor posture
Disc problems – such as herniated or degenerated discs
Arthritis – wear and tear of the joints in the spine
Spinal stenosis – narrowing of the spinal canal, which can put pressure on nerves
Injuries – from falls, accidents, or sports
Other conditions – such as osteoporosis, infections, or (rarely) tumors
3. Symptoms
Back pain symptoms vary, but may include:
Aching, stiffness, or tightness in the back
Sharp or shooting pain that may travel down the leg (sciatica)
Limited range of motion or difficulty standing up straight
Pain that worsens with bending, lifting, standing, or walking
In some cases, numbness, tingling, or weakness in the legs
Seek medical help right away if you experience:
Loss of bladder or bowel control
Severe weakness or numbness in the legs
Sudden, severe back pain after an accident or injury
4. Diagnosis
Your healthcare provider will usually start with:
Medical history – asking about your symptoms, activities, and health background
Physical exam – checking posture, movement, strength, reflexes, and nerve function
Imaging tests (if needed) – such as X-rays, MRI, or CT scans to look for structural problems
Other tests – like blood work or bone scans if another condition is suspected
5. Treatments
Most back pain improves within a few weeks with simple care. Treatment options may include:
Self-care and lifestyle:
Resting for short periods (but avoid long bed rest)
Gentle stretching and staying active
Heat or cold packs for pain relief
Good posture and ergonomics
Medications:
Over-the-counter pain relievers (acetaminophen, ibuprofen)
Muscle relaxants or prescription medications if needed
Physical therapy:
Exercises to strengthen muscles and improve flexibility
Posture and movement training
Other treatments:
Injections (such as steroid shots) for severe nerve pain
Surgery (rare, for cases with structural problems or nerve compression not improving with other treatments)
In some cases, minimally invasive spine surgery may be recommended if back pain is caused by conditions such as herniated discs, spinal stenosis, or instability. These procedures use smaller incisions, cause less disruption to muscles, and often allow for a faster recovery compared to traditional surgery.
Disclaimer: All materials presented on this website are the opinions of Dr. Patawut “Pat” Bovonratwet, or Dr. B, and any guest writers, and should not be construed as medical advice. Each patient’s specific condition is different, and a comprehensive medical assessment requires a full medical history, physical exam, and review of diagnostic imaging. If you would like to seek the opinion of Dr. B for your specific case, we recommend contacting our office to make an appointment.